02D1046987 CLIA NUMBER - MAT-SU HEALTH SERVICES INC

Laboratory Demographics

CLIA Number: 02D1046987

Facility Name: MAT-SU HEALTH SERVICES INC

Facility Address:
1363 WEST SPRUCE AVENUE
WASILLA, AK
ZIP 99654
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Facility Phone Number: (907) 376-2411

Facility Type: FEDERALLY QUALIFIED HEALTH CENTER

Certificate Type: Microscopy

NPI Number: 1184725210

Taxonomy: 261QM0801X - Clinic/Center

CLIA Record

Field Name	Field Value
CLIA Number	02D1046987
LAB Type	FEDERALLY QUALIFIED HEALTH CENTER
Facility Name	MAT-SU HEALTH SERVICES INC
Street	1363 WEST SPRUCE AVENUE
City	WASILLA
State	AK
ZIP	99654
Phone	(907) 376-2411

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This page was last updated on: 5/11/2023